Abstract | OBJECTIVE: METHODS: Between April 2001 and March 2006, we performed a retrospective study at Tokai University, Kanagawa, Japan. We studied 24 ADH patients without cardiopulmonary arrest (male:female ratio, 15:9; mean age, 68.5 +/- 12.9 years) with hemodynamic instability who had not developed intracranial hemorrhage. We evaluated the efficacy of PPCPB rewarming by estimating the mean time of initiation of PPCPB after admission, rewarming speed, the success rate of rewarming, the rate of weaning from PPCPB, the incidence of ventricular fibrillation (Vf) during rewarming, complications associated with PPCPB, mortality rate, and the Glasgow Outcome Scale (GOS) scores of the patients who survived. RESULTS: The mean time of initiation of PPCPB after admission was 41.9 +/- 7.9 minutes. The rewarming speed was 4.0 +/- 1.5 degrees C/h. A 100% success rate was achieved after the rewarming procedure, whereas the rate of weaning from PPCPB was 91.7%. Vf during rewarming developed in one case; however, electrical defibrillation was possible. No direct complications of PPCPB were observed. The mortality rate was 12.5% (3/24). The GOS scores of the patients who survived were as follows: 5 points, 17 cases; 4 points, 3 cases; and 3 points, 1 case. CONCLUSION:
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Authors | Seiji Morita, Morita Seiji, Sadaki Inokuchi, Inokuchi Sadaki, Shigeaki Inoue, Inoue Shigeaki, Kazuki Akieda, Akieda Kazuki, Kazuo Umezawa, Umezawa Kazuo, Yoshihide Nakagawa, Nakagawa Yoshihide, Isotoshi Yamamoto, Yamamoto Isotoshi |
Journal | The Journal of trauma
(J Trauma)
Vol. 65
Issue 6
Pg. 1391-5
(Dec 2008)
ISSN: 1529-8809 [Electronic] United States |
PMID | 19077632
(Publication Type: Journal Article)
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Topics |
- Aged
- Body Temperature
(physiology)
- Cardiopulmonary Bypass
(instrumentation)
- Cause of Death
- Equipment Design
- Female
- Glasgow Outcome Scale
- Hemodynamics
(physiology)
- Hospital Mortality
- Humans
- Hypothermia
(mortality, physiopathology, therapy)
- Male
- Middle Aged
- Point-of-Care Systems
- Retrospective Studies
- Rewarming
(instrumentation)
- Survival Rate
- Time Factors
- Treatment Outcome
- Ventricular Fibrillation
(physiopathology)
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